Interaction Study of Clopidogrel 300/75 mg Given Alone or With Omeprazole 80 mg 12 Hours Apart in Healthy Subjects

NCT ID: NCT01129388

Last Updated: 2011-12-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2009-05-31

Brief Summary

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Primary objective:

* Assess the effects of clopidogrel (300 mg loading dose followed by 4 days 75 mg/day) on Adenosine diphosphate (ADP)-induced platelet aggregation when given either alone in the morning, or in association with omeprazole 80 mg/day in the evening at a 12-hours interval in healthy male and female subjects

Secondary Objectives:

* Compare the pharmacokinetic profiles of clopidogrel and its active metabolite when clopidogrel is given either alone alone in the morning, or in association with omeprazole in the evening at a 12-hours interval

Detailed Description

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The total study duration per subjects is 8-9 weeks broken down as follows:

* Screening: 2 to 21 days before the first dosing
* Period clopidogrel/placebo: 7 days including 5 days treatment
* Period clopidogrel/placebo + omeprazole: 12 days including 10 days treatment
* Washout between periods: at least 14 days period after last dosing respect to clopidogrel treatment
* End of study: at 7 to 10 days after the last dosing

Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Group clopidogrel - clopidogrel + omeprazole

Period 1:

* Day 1: clopidogrel 300 mg loading dose in the morning under fasted conditions
* Day 2 to Day 5: clopidogrel 75 mg in the morning under fasted conditions, once daily

Period 2:

* Day -5 to Day -1: omeprazole 80 mg in the evening 2 hours after dinner, once daily
* Day 1: clopidogrel 300 mg loading dose in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner
* Day 2 to Day 5: clopidogrel 75 mg in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner, once daily

Group Type EXPERIMENTAL

clopidogrel

Intervention Type DRUG

Pharmaceutical form: tablet

Route of administration: oral

omeprazole

Intervention Type DRUG

Pharmaceutical form: delayed-release capsule

Route of administration:oral

Group placebo - placebo + omeprazole

Period 1:

* Day 1: placebo loading dose in the morning under fasted conditions
* Day 2 to Day 5: placebo in the morning under fasted conditions, once daily

Period 2:

* Day -5 to Day -1: omeprazole 80 mg in the evening 2 hours after dinner, once daily
* Day 1: placebo loading dose in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner
* Day 2 to Day 5: placebo in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner, once daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: matching tablet

Route of administration: oral

omeprazole

Intervention Type DRUG

Pharmaceutical form: delayed-release capsule

Route of administration:oral

Group clopidogrel + omeprazole - clopidogrel

Period 1:

* Day -5 to Day -1: omeprazole 80 mgin the evening 2 hours after dinner, once daily
* Day 1: clopidogrel 300 mg loading dose in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner
* Day 2 to Day 5: clopidogrel 75 mg in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner, once daily

Period 2:

* Day 1: clopidogrel 300 mg loading dose in the morning under fasted conditions
* Day 2 to Day 5: clopidogrel 75 mg in the morning under fasted conditions, once daily

Group Type EXPERIMENTAL

clopidogrel

Intervention Type DRUG

Pharmaceutical form: tablet

Route of administration: oral

omeprazole

Intervention Type DRUG

Pharmaceutical form: delayed-release capsule

Route of administration:oral

Group placebo + omeprazole placebo

Period 1:

* Day -5 to Day -1: omeprazole 80 mg, once daily in the evening 2 hours after dinner
* Day 1: placebo loading dose in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner
* Day 2 to Day 5: placebo in the morning under fasted conditions + omeprazole 80 mg in the evening 2 hours after dinner, once daily

Period 2:

* Day 1: placebo loading dose in the morning under fasted conditions
* Day 2 to Day 5: placebo in the morning under fasted conditions, once daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Pharmaceutical form: matching tablet

Route of administration: oral

omeprazole

Intervention Type DRUG

Pharmaceutical form: delayed-release capsule

Route of administration:oral

Interventions

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clopidogrel

Pharmaceutical form: tablet

Route of administration: oral

Intervention Type DRUG

Placebo

Pharmaceutical form: matching tablet

Route of administration: oral

Intervention Type DRUG

omeprazole

Pharmaceutical form: delayed-release capsule

Route of administration:oral

Intervention Type DRUG

Other Intervention Names

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SR25990

Eligibility Criteria

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Inclusion Criteria

Healthy subject,

* as determined by medical history, physical examination including vital signs and clinical laboratory tests.
* with a body weight between 50 kg and 95 kg if male, between 40 kg and 85 kg if female, and with a Body Mass Index (BMI) between 18 and 30 kg/m²

Exclusion Criteria

* Evidence of inherited disorder of coagulation/hemostasis functions
* Smoking more than 5 cigarettes or equivalent per day
* Abnormal hemostasis screen
* Unability to abstain from intake of any drug affecting hemostasis throughout the whole study duration
* Any contraindication to clopidogrel and/or omeprazole

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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International Clinical Development Study Director

Role: STUDY_DIRECTOR

Sanofi

Locations

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Sanofi-Aventis Administrative Office

Bridgewater, New Jersey, United States

Site Status

Countries

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United States

References

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Angiolillo DJ, Gibson CM, Cheng S, Ollier C, Nicolas O, Bergougnan L, Perrin L, LaCreta FP, Hurbin F, Dubar M. Differential effects of omeprazole and pantoprazole on the pharmacodynamics and pharmacokinetics of clopidogrel in healthy subjects: randomized, placebo-controlled, crossover comparison studies. Clin Pharmacol Ther. 2011 Jan;89(1):65-74. doi: 10.1038/clpt.2010.219. Epub 2010 Sep 15.

Reference Type RESULT
PMID: 20844485 (View on PubMed)

Other Identifiers

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INT11166

Identifier Type: -

Identifier Source: org_study_id